Larry Fredric Radke, D.C.

NPI #1649481052 in Lake City, Florida

Provider Information

NPI Number: 1649481052
Entity Type: Individual
Name: Larry Fredric Radke, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: May 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 430 SW COLUMBIA AVE
City: Lake City
State: Florida
ZIP Code: 32025-5254
Phone: (386) 752-2252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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